Permit CITY OF TIGARD
PLUMBING PERMIT
°' ` COMMUNITY DEVELOPMENT PERMIT #: PLM2009 - 00007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/12/2009
PARCEL: 1 S125CA -NC002
SITE ADDRESS: 07411 SW CEDARCREST ST ZONING: R -4.5
SUBDIVISION: NORTH CEDARCREST PARTITION LOT: 002 JURISDICTION: TIG
PROJECT: NORTH CEDARCREST PARTITION
Project Description: Installation of backflow preventer for irrigation. -
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
C & L PROPERTIES LLC
9279 SW 75TH Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 1/12/2009 $36.25
[TAX] 12% State Surch 1/12/2009 $4.35
Phone : 503 -245 -4944 Total $40.60
Contractor:
PLUMBING SYSTEMS, INC
PO BOX 2056
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 658 -2836
FAX 503- 658 -2836
Reg #: LIC 97810
PLM 3 -252PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 I. You may obtain copies of
these rule ..irect qu-s ions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: , r. /
� j Permittee Signature �J ;1111,_
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion oft e project.
Approved plans are required on the job site at the time of each inspection.
- -
. • • *
01/08/2009 03:138 6267855 PAGE 01
Plumbin Peng_ iliion
Buildiag Fixtures
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p Mi0 Penrit No : i a t /A0f-66Q97
SW Hail Blvd., Tigard OR 9722J
Pisa Rims
Mute 503.639 417} Fax: 503.598,190 NIA . Niter Farnit No.:
Inspection Line. 303 639.4176 ___
Doi avrielly: , . el Bee Pees 2 fer
e0 Ifitencl: www.tigerd-or .sev
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New cone/action I 0 Dernalition Tat (aeatar_WetLavataa age dm-Nat
- -- , , Descriplion TQt- 1 '".- _.1 Mila
0 Additiontialterationhaplernenern I 0 Naar
1 1 " 241 tlydnetia (includes M ft for melt utility COMCciion)
';' - oit toNtnt -.,, li
, . 2 ,• , - ' , 3/41 , , , e47.41. SF R ( 1 ) b 249,26 -1
1 . , i
I - and 2.fanaily dwzDing 0 Cominermanndeatlial _SFR (2) bob v _ i 3 SO 00
I EI Accessory building CI Mult _ mily SFR (3) bratb
_--__ .399.00
1- 1 riii Each acidity:0d baillfkierhaa 45,00
ID Miumr builder t....i Mar; - I
oik i'm . " p -,` . .i " ,i,AN , :,, , ,,,,,r,,,,,,,, Fut winkle (_____ sq. ft.) Page 2
.:', -- ,: ,- ,:_.k....,, ,i ;..rAff - ArTA: , ,.:p,ipitiv.710?4 , ANIR - „wcATTP lialri.,0:A.
,,,,. . Sitt otaitkro 1
lotoias. address: 7 4 11 , -L1 CEAAELC-12.G.S, coxft basin or ens deans 16.60 i
- --.----J
Csty/SinterZFP: 11 0 a2. et:0 5 272:3" Otynell, Jena line, or moth drain 16.60
---
Suite/bldg./apt no.: . ,.. .oject name. Footles drain (no. haus ft.:
_._______ 1 Faftv 2
--------- - " Mantdernamil home =Mfrs 110.00
Cross streneldirections to lob site: Mol -
anhes 3 6.60
- ---- Rain drain copperas( 1660
___.- ....__.
Sanitary senor (no. linear ft : ) Page 2
5 toms i ewVi 00, linear ft: ...___.) Page 2
_ -----.
Subdivision: - . ---,,,,,,:7 v.f..- Km. o... ft). ii ft.: )
--
1Flannte or Items
T map/par _______
ax cel no.; -......-
...,-.......,-„,,,,,.......„._„,,r,..., _ „ ..„,,,,„ ,..,,,, Absorption VialYC 16.60
'.:(ti44,13-4111C5UF,r1T41.43 ,
'. -
, .. e. Saddest' prevent= Pete 2 . 5
04awitaer vah. 16 60
. 1 Clothes washat 15.60
_ -- V
-
Dishwasher ; 6.60
36 60
:. 1. 2 *".. - A ..:. i Yk, ' 1 i".i :A q .' 'f' r. "?‘1 63 .. . 11:1111174474"4 i .. L.:''';''i ' itt"..-i Eitoore ' -
1 16.60
Name: C V L 11 1144 ilr,514115S,
Expansion mule 16.60
Address: 4: 1 2.7 I 5 Fixtuesewer cap I 16.60 1
--- , ., -
---
City/Steina/F: 1`111) (14. Oft. GI n r$;3--S --- Floor dratnifloor sinklbub I 16.60 f
?hare: ( (11) 2A S - 4 0 ) 414 Fon: (Via) LIM - -,,,- 03 ,., Oubagt disposal 16.60
REM ' S : ' 1 0 . :+ 41 *.• 43. ' ,: g': : :i ' ' ,:g:::' ' • :t.Siotkrii:A ' '.: 14° _111„t_____ 16.60
.....
- OMR I v fif_ name t ' ,,,,. :- • 1. , , . *
leterceplon/grease nag • 16 60
Medical pp (valise' 5 ) - Page 2 MN
, Adadress: Pinner
I ur _ ,,...-:. _ ,. z ,a 4 ,.._.____ 16.60
___
Cityise.mqm ..„,A6.s.c.i.i_c., eyi- cl77.043 Reef drain (caretriacial3 16.60
F ,
________ . .., Sulubasinileverity 16.50
- I
I Phoon_ 2 v i f". 1 Fat 1 ( 59) - ' L- .
Tubashowerishowsr piss 16.60
- -H 1.1rina1 16.60
' , . 1- watne awl I 16.60
BUgiussaa roma: e„,Ge6 4111 111 1 12 - 7,,ja.,, Water haunt 16.60
--
-
____
Subtend
City/Rata 1F1 1. Al 1:71 / 0 0 0 1
1setritntinl permit fee: InS0 .7 . . ..y
I Phone: ( S1.3) • 75 Fax: ( 51-3) 52 2' 3 a Residential barkflow initumun_i_peravit fee; 136.15 , , 4P
I . CCD Lie.: _ CI - 1 '5 i 0 Plumbing Lie. no..:3 - l_t) - 2.r ed ... MI stvieve (2.5% al perrnit rye)
See tureharge (IVA of paten fee) .
Authorized signalise: ...,.4.451, . . ..... .........1.r.... . .' ,, 7---_> . • -
TOTAL PEWIT FEE
.
.
Frrt name: se L__ .11 .4 p , .. ;os ,, ci .. ‘vt. „ t. .- ... Dale. 1 s Orl This permit apocstten CRAM ii a permit = nos obtaised etelata
130 daya altar SI trua bana tairaerea et mangles..
•Fta vatiodotogy set by IniCesiney Building Industry Service Boas.
. 121277ft 4413-44 16 7( ItAti•COMAYEA)
I . CI SS913-89 COS . lonlqqnos qqoos e6S:/,0 6O 80 uer
/
CITY OF TIGARD ,
BUILDING DIVISION / PERMIT #: PLM2009-00007
13125 SW Hall Blvd., Tigard, OR 97223
„ Ztit 1 DATE ISSUED: 111212009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
- Or
INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7 PAGE: 28
SITE ADDRESS: 07411 SW CEDARCREST ST CLASS OF WORK:
SUBDIVISION: NORTH CEDARCREST PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: NORTH CEDARCREST PARTITION
DESCRIPTION: Inst. allation of backflow preventer for irrigation.
OWNER: C & L PROPERTIES LLC, PHONE #: 503,245-4944
CONTRACTOR: PLUMBING SYSTEMS, INC PHONE #: 503-658-2836
Inspection Request Scheduled For: Date: 1/14/2009 Pour Ti, e:
Code # Inspection Description Confirm # Contact # M es .. : ge -1 :i t 6 17 yi 0-
395 Misc. inspection 079677-04 503-939-2310 Y
' ■r
Corrections/Comments/Instructions:
Ti s - — - j
0
>Ne.71 4■4
—
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9 El PARTIAL APPROVAL 1 CANCEL NO ACCESS
0 FAIL fl CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: i b
Date: I I N-4 i 1 Phone #: (503) 718-